Individual provider Active NPI

James W White, DC

  • Chiropractor
  • Lynchburg, VA
National Provider Identifier
1124090253
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000625 Issued in VA
Practice address
2137 Lakeside Dr
Suite 102
Lynchburg, VA 24501-6803
Phone
(434) 385-4000
Fax
(434) 385-4692
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104000625 VA Primary

Addresses

Primary practice location

2137 Lakeside Dr
Suite 102
Lynchburg, VA 24501-6803

Mailing address

2137 Lakeside Dr
Suite 102
Lynchburg, VA 24501-6803
Phone (434) 385-4000

Other identifiers 1

IdentifierTypeStateIssuer
6303140001OtherVACIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111207000540 VA Practitioner - Chiropractic 4880869551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2137 Lakeside Dr
Suite 102
Lynchburg, VA 24501-6808
Phone (434) 385-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104000625VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
James W. White PC Chiropractor CurrentSince May 1, 1986 Accepting new patients

Locations

2137 Lakeside Dr
Ste 102
Lynchburg, VA 24501
Phone (434) 385-4000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1124090253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2137 LAKESIDE DR",
            "address_2": "SUITE 102",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245016803",
            "telephone_number": "434-385-4000",
            "fax_number": "434-385-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2137 LAKESIDE DR",
            "address_2": "SUITE 102",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245016803",
            "telephone_number": "434-385-4000",
            "fax_number": "434-385-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JAMES",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6303140001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.